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Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...

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Updated: Jun 13, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
06:26

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Published on: March 28, 2025

[Acute coronary artery dissection after aortic valve replacement].

Fernando de Paula Machado1, Roney Orismar Sampaio, Fernanda Lopez Mazzucato

  • 1Instituto do Coração, Hospital das Clínicas, Universidade de São Paulo, São Paulo, SP, Brasil.

Arquivos Brasileiros De Cardiologia
|April 30, 2010
PubMed
Summary

A rare case of coronary artery dissection and myocardial infarction occurred immediately after aortic valve replacement surgery. This complication, though uncommon, highlights potential risks following cardiac procedures.

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Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
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Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Published on: December 11, 2017

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Last Updated: Jun 13, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
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Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
14:14

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Published on: December 11, 2017

Area of Science:

  • Cardiovascular Surgery
  • Interventional Cardiology
  • Cardiac Pathology

Background:

  • Aortic valve replacement (AVR) is a common cardiac procedure.
  • Late aortic dissection is a known, though infrequent, complication post-AVR.
  • Coronary artery dissection is a rare event, typically associated with angiography.

Observation:

  • This report details a unique case of coronary artery dissection.
  • The dissection occurred in the immediate postoperative period after a successful AVR.
  • The patient also experienced a myocardial infarction concurrently.

Findings:

  • The patient presented with coronary artery dissection and myocardial infarction.
  • These events transpired shortly after undergoing aortic valve replacement surgery.
  • Despite the rare complication, the patient had a favorable postoperative outcome.

Implications:

  • Highlights the importance of vigilance for rare vascular complications post-AVR.
  • Suggests that coronary artery dissection can occur in the immediate postoperative phase.
  • Underscores the need for careful monitoring and prompt management of cardiac events after surgery.